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Home My WebLink AboutPermit Plumbing 2014-10-03SPRINGPIBLD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3763 ,pry OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-02150 w .springfield-or.gov permilcenterQspringfield-ocgov PROJECT STATUS: Issued ISSUED: 10/0312014 EXPIRES: 04101/2015 STATUS DATE: 10/0312014 APPLIED: 10/03/2014 SITE ADDRESS: 303 S 5TH ST, STE# 195, Springfield, OR 97477 SCOPE: Plumbing Only ASSESOR'S PARCEL N0: 1703350000307 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: P - Replace rail -car restroom with prefab modular restroom OWNER: CITY OF SPRINGFIELD Phone Number: ADDRESS: 225 N 5TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone Plumbing Contractor BARNES HIGH TECH PLUMBING INC CCB 83311 02/17/2016 541-726-9854 INSPECTIONS REQUIRED Inspections 3200 Sanitary Sewer Sanitary Sewer Line: Prior to filling trench and including required testing. 3315 Water Line By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractor Signature A7 MENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules in OAR 952-001-0010 through OAR 952-001- aroset forth 0090. . You may obtain copies O of Phe rules by number for ththe eOregonter Note: tho telephone Center is 1-1300 -800-Utilit332-2y ,344). Date TICE: 11 IS PERMIT SHALL EXPIRE IF THE WORK 1IORIZED UNDER THIS PERMIT IS NOT ENCED OR IS ABANDONED FOR ';10 DAY PERIOD. Springfield Building Permit 10/3/2014 9:04:23AM Page 1 of i SPRINGFIELD CITY OF SPRINGFIYLD 225 Fifth St TRANSACTION RECEIPT Springfield,013 97477 541-726-3753 OREGON 811-SPR2014-02150 mv.springfield-or,gov 303 S 6TH ST, STE 196 permitoenter@spnngfield-or.gov RECEIPT NO: 2014002186 RECORD NO: 8111-SPR2014-02150 DATE: 10/03/2014 DESCRIPTION ACCOUNT CODE/TRANS CODE' AMOUNT DUE Continuing Education Fee 224-00000-425606 2.50 Fixture 224-00000-425603 1005 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 Technology fee (5% of permit total) 100-00000-425605 2099 21.00 12.72 5.30 Water Line 224-00000-425603 1005 85.00 TOTAL DUE: 1126.62 PAYMENT TYPE PAYOR , CA$HIER: RHOLIVIAN COMMENTS AMOUNT PAID Credit Card Michael C. Schmidt/ GRS 126.52 065070 TOTAL PAID: 126.62 This permit is issued under OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days, LOCAL GOVERNMENT APPROVAL Zoning approval verified? ❑ Yes ❑ No Sanitation approval verified? [9 -yes [_1 No CATEGORY OF CONSTRUCTION ❑ Residential ❑ Government I ❑ Commercial -JOB SITE INFORMATION AND LOCATION Job site address: G �yl - - jvi-ET City: State: pr.?_ ZIP: c]r? ?7 Reference:ZrA Taxlot.: DESCRIPTION OF WORK ell s ['✓ P «G�_ ^` PROPE TY `OWN R - Name: Address: City: State: ZIP: Phone: Fax: E-mail: This installation is being made on residential or faun property owned by me or a member of my immediate family, and is exempt from licensing requirements under OAR 918-695-0020. Signature: CONTRACTORINSTALLATION Business name: — Address: aZ7B7 City: fir/ State: CrIZ ZIP17 77 Phone' Fax: -v_, E-mail: CCB license no.: %j' BCD license no.: Plumbing license no.: 7� f Printname: J U4 � .4 E g Signature: 440-25004 (5/21/2014/COM) FEE SCHEDULE DescriptionQt, Cost °ca. Total cost New residential 1 bathroom/I kitchen (includes: first 100 feet ojwater/sewer lines, hose $266.00 $ bibs, ice maker, underfloor low point drains and rain -drain packages) _2 -bathrooms/ -1 -kitchen --$420,00---$- 3 bathrooms/] kitchen $494.00 $ Each additional bathroom (over 3) $107.00 $ Each additional kitchen (over 1) $107.00 $ Residential firesprinklers includes p1lan review 0 to 2,000 square feet $82.00 $ 2,001 to 3,600 square feet $131.00 $ 3,601 to 7,200 square feet $196.00 $ 7,201 square feet and greater $261.00 $ Manufactured dwelling or pre -fab (circle one) Connections to building sewer and water supply $82,00 $ Commercial, industrial, and dwellings other than one- or two-family Minimum fee $62.00 $ Each fixture ' $21.00 Miscellaneous fees 100' storm, sewer, waterline ION $85.00 1 $ Each fixture, appurtenance, and piping $21.00 $ Storm water retention/detention facility $21.00 $ Irrigation systems $21.00 $ Piping or private storm drainage systems exceedingthe first 100 feet $21.00 $ Specialty fixtures $21.00 $ Reinspection (no. of hrs. x fee per hr.) $82.00 $ Special requested inspections (no. of Ins. x fee per hr.) $62 00 $ Each additional inspection: (1) $82.00 $ Medical gas piping Minimum fee $ Enter value of installation and equipment $ _. Enter fee based on installation and equipment value. $ APPLICANT, USE (A) Enter subtotal of above fees C (Minimum Permit Fee $82.00) (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ ' (D) Technology Fee (5% of [A]) $ 3 (E) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through E): $ SII